Construction of CC Road replacing Bituminous Road in Switchyard Area and Repairing of Existing Drains and Cable Trench Covers along with PreMix Carpeting on Existing External Bituminous Road from NH-27 To Control Room at 400/220kV Prayagraj Substation at the risk & cost of M/s Imperial Foundation Pvt. Ltd, Patna

Providing and laying in position cement concrete of specified grade excluding the cost of centering and shuttering - All work up to plinth level : 1:4:8 (1 cement : 4 fine sand : 8 graded stone aggregate 40 mm nominal size)

Providing and laying C.C. pavement of mix M-25 with ready mixed concrete from batching plant. The ready mixed concrete shall be laid and finished with screed board vibrator , vacuum dewatering process and finally finished by floating, brooming with wire brush etc. complete as per specifications and directions of Engineer-incharge. (The panel shuttering work shall be aid for separately). (Note:- Cement content considered in this item is @ 330 kg/cum. Excess/less cement used as per design mix is payable/ recoverable separately).

Steel reinforcement for R.C.C. work including straightening, cutting, bending, placing in position and binding all complete upto plinth level. Thermo-Mechanically Treated bars

Centering and shuttering including strutting, propping etc. and removal of form work for : Foundations, footings, bases for columns

Providing and laying in position bitumen hot sealing compound for expansion joints etc. Using grade ‘A’ sealing compound.

Earth work in surface excavation not exceeding 30 cm in depth but exceeding 1.5 m in width as well as 10 sqm on plan including disposal of excavated earth upto 50 m and lift upto 1.5 m, disposed soil to be levelled and neatly dressed All kinds of soil

Supplying and laying 125 micron thick polythene of road between PCC and RCC Layer

FALSE

Bank Guarantee

NSIC Certificate No.

Amount & Currency

For Individual Firm

Turnover* (in Rs. Lakh)

Networth (in Rs. Lakh)

in Rs. Lakh

Certificate of Incorporation

Copy of PAN Card Submitted (Y/N)

Designation:

Description of Deviation

Designation:

Attachment-4

Description of Deviation

Designation:

Schedule-4

Ref/ Page No.

Designation:

Schedule-4

Ref/ Page No.

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Schedule-4A

Clause No./ Page No.

Designation:

Schedule-4A

Clause No./ Page No.

Designation:

Date of Retirement/ resignation from POWERGRID (DD-MM-YYYY)

Designation:

Quantity proposed to be bought/ sub-contracted

Designation:

Quantity proposed to be bought/ sub-contracted

Designation:

Period from Date of LOA

Designation:

Designation:

Northern Region Transmission System-III

Name of the published index

Wholesale Price Index Number for ‘High Speed Diesel’ (Individual commodity) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Indian Labour Bureau, Shimla, Govt. of India (monthly) (Base: 2001 = 100) (www.labourbureau.nic.in)

Wholesale Price Index Number for ‘Ferrous Metals’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Wholesale Price Index Number for High Speed Diesel’ (Individual commodity) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Indian Labour Bureau, Shimla, Govt. of India (monthly) (Base: 2001 = 100) (www.labourbureau.nic.in)

Wholesale Price Index Number for ‘Cement & Lime’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Wholesale Price Index Number for ‘Structural Clay Products’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Printed Name :

Designation :

Printed Name :

Designation :

Details of Contract and date

Details of Transgression of Integrity Pact by the bidder

Estimated completion date

Printed Name :

Designation :

Attachment- 10

Ref. and Page No.

Printed Name :

Designation :

Designation:

Power Grid Corporation of India Ltd.,

3rd Floor

Yes (Documentary Evidence attached)

Printed Name :

Designation :